HomeMy WebLinkAbout220 Bristol Cir (2)r•.
Pcrinitil: .'
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Job Atldt•css: oD iZtliTD ( Description
of Work: 2DD- Ilistoric
District: Zoninc: CI'
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j,; '.:..••Ii , ..-N\^:IA.i n'.i:•rr::a Date:=::•.. :-•... 3•-.
1`7 - ;' ; Clle. OV`-'ro ' ..... .`-' . • ' Skt.
vl G S 31S3DH > D-----r=-
Value
of
Work: S -----'—'— Percnit Typc:
Building fslcetrical Mechanical Plumbing Firc Sprinkler/Alarm r P0g1•—__
lcctrical:
New
Service —11 of AMPS Addition/Al tcration Cl,angc of Service Tcmpot:iry Polc —,; -- Energy C'ali<
t Required) Mechanical: Rcsidcntial Non-
i.cPlaccrncnt Ncrr (Duct Layout , , Plumbing/ Neiv Commcrcinl:
i! of FixRtres ll of Water & Sewer Lincs I/ of Gas Lines Pluntbin PIcn' Residential:
l! of l!atcr Closets Plumbing Repair— Rcsidcntial or Cotrnncrcial Occupancy Type: Rcsicicntial %
Commercial _ industrial Total Sgnnre Footarc: Construction Typc: _ v
of Storics; (l of Dwelling Units: Mood Zone: (FIiMA form requireci for otwter z"X) Pared Il: O+
utc•s
Namq& I 3 --a
A(taclt Proof
or Ownership Fc Lcgal Description) oZ o;z
F D rz-v- aTD (— to 1 Q . Contractor N'antc
14"Addrem ``t-;;, t" C _L 0 1 tJ — p /1—•••••-••--••- ,goo
r'(L
N( -1 S4J Lac1 3271 Stale Liccnsc/tnnbr.r. Gyy D ZZ _,L—_—....._. Contt l'mon: _ T`COC _
I'Itonc:-3zZ 55. g 1'lwnc .0 Fax: ti
Mortgage Lender: utdress: Architect/r•.
nginccr: Address:
1,
NJ %. Phone .-- Application
is
hereby made
to
obtain a permit to do the wort' and installations as indicated. 1 cerify that no wort: or installation has c0r.1mcnc0ci prior W the issuance of a permit andthatallworkwillbeperformedtonimstandardsofalllawsregubtinrconstructioninthisjurisdiction. 1 understand that a separate permit must be secured forIiLECTRICALWORX. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILIiP.S, I iG\Tr:ILS,1'ANK.S, and AIR CONDITIONERS, etc. OWNER'S
AFFIDAV l: i
W-617y that all of the fon:roing information is accuntc and that all wor'r, will be done in compliance will, all appliejI;Ie lays rt l ultting construction and zoning. WARNING TOOWNER: YOUR, FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY P -SUi:f IN YOURPAVING ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF
YOU INTEND TO OL'TA114FINANCING, CONSULT WITH YOUR LiiNDC•R OR AN ATTORNEY BEFOI`T. RECORDING YOUR NOTICE OF COMI.
4ENCEMf:NT. NC1 llt; li: ht addition to the rcquirenN
nL: of this permil. Then may be mldilimml 1-:::06cliun. applicable to Ihi-, properly that may be ftunttl in Ihr. public records of this county, and there may be additional permil. required from other governrir nt:d entitle:: such a:: watcr ImmaLcmcnt districts, state agcncic., or fcdcral agcrucies. Acceptance o' ennit is verification duct 1 tt•
ill notify the owi,.cr of isle pro, criv of the rcquircmcn • ,f' orida .aw, FS 711. 3 ' Jignalurc of Uwller/Agent IJ:1;` Sign
tore
of ' mnctor/Arent tc Tr 1 APPLICATION AI'1'I:OVI:1)
BY: IlltIC:
I In1:Iat ; a:ue; Prim tlnctor:V
cnt's Name Sita:aane
of ,7-.aryStale or hlorida Date
Initial & 1)al.l D 1
POWER OF ATTORNEY
Date: -3 , V
I, Andrew i. (Andy) Adcock do hereby authorize Ruben Birch
To pull the R e r o o f permitfor 720 e cSTo Cr C i rG type
of permit) (address) ; 3Z-7-7 3 N
Stamp DAFNEY
FAYE ADCOCK s
NOTARY PUBUC, STATE OF FLORIDA MY
Comm. Expires DEC. 2, 2006 COMM, #
DD376609 Personally
know to me or driver license # , of State of Florida, County of day
of w •2004. zoo
S k
1
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
COMPANY: A>fQ&9 -gVDr-1k)&
SUBDIVISION:
PERMIT NO:
AFFIDAVIT
LICENSENO:— C Ce-D Z Z Sa I PROJECT
INFORMATION ADDRESS:
as a2tS C_ r° Sa,
a 37 -1-7 LOT:
I, "
ADto t4 affiant, hereby affirm that I am the duly licensed contractor of record for the above reference permit,
that all of the foregoing information is true and accurate, and that the dry -in, fleshings at the above referenced addressAot has beeninstalled
in accordance with all applicable codes and standards. CONTRACTOR:
STATE
OF FLORIDA / COUNTY
OF L 0 This
instrument was acknowledged before me this day of R- aoo Cj . by the above referenced individual,
Aov D, A r7C1^ , who acknowledged that she is a duly licensed contractor with F-
I_ctur A. . and who acknowledged that8?he was authorized to execute this document HZ she is eit4a
ersona q vyn to me or produced as valid identification. WITNESS
my hand and official seal this day of ' `-. No
Public DAFNEY
FAYE ADCOCK NOTARY
PUBUC, STATE OF FLORIDA Printed Name: MY
Comm. Expires DEC. 2, 2008 COMM.
N DD378809 My Commission Expires: IZ Z Zp
4-tNr5Li, ''tk'DCo (KS
gU 0 qj, e.r.l4j_ A , State of Florida
Sa,.,,4D11-d
L 3z 7-7%
Permit No.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
TIIc undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal dcscriptiop of the property and street address) ZZ G -j 1?-,-sTo 1 _ n _ O C a .J.... '-J -1 1 --- - .-._. -.w
nT rlcp COPY
GENERAL DESCRIPTION OF IMPROVEMENT 14_ f oo MARYANNE MORSF-
ULtKK CUIT COURT
SEWNUFFURUNTY, FLRRM
OWNER INFORMATION c
Name and address e - ( k" am,
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER -(IF OTHER TBAN OWNER)
CONTRACTOR
Name and address
SURETY (Bonding Company)
Name and address
52005
Amount of Bond
LENDER I NaIiNINNa10I0N91ININaINIIa
Name and address
IT CM)ff
tttiiiMi#i#iitl*##ifiiipiti#ii•#•i###iiiiiNii#iiii#itii9K#i 4*7*409**1ffW1G***
Persons within the State of Florida designated by Owner upon whom notice or other MMI&WA04 bySection713.13(lxa)7., Florida Statutes: FECOM 03/15/ 0%5704 FA Nameandaddress - - - suss
ss#ss#siisi##ii##s##s###iis##it####s###isiiiiis#i#i#si#isiss#isississiissssi•ssis*ssi• in
addition to himself, Owner designates Of provided
in Section 713.13(I)(b), Florida Statutes. to
receive a copy of the Lienor's Notice as iiiiiiiiiii#####
tit###tii##ii#i#i#iii##i###t#i#ti#iiiifiiiii#*iiiNii#iti•iiitiiiiiiiiii*iii Date
irati
t if Wf0 W of recording unlem. a differrnt date. is mvrifird 1 NOTARY
Comm.
ExpiresSTATE
of 2,
PADA
2W8
MYm. Expires t) . 2, 2008 \\\ COMM.
li DD3 Signatur7q41—&
er —
Swo '
to d scribed be re me this / Day of.9- 'Z 0My
Commission spira: 1 L Zb0 No
ry P blic The
ongoing instrument was acknowledged before me this day of 49 ' by mil -:O 1•'i i i fl fj (name of person aclmowledg is Mcn6firtation to me
or who has produced (type of i entification as and
who did I did not take an oath>